GHM Optical Shop

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

68802 Issued in FL

Legal business name

GHM OPTICAL SHOP

Doing business as

the glasses store

Practice address

6190 N Davis Hwy
Pensacola, FL 32504-6969

Phone

(850) 505-7788

Fax

(850) 471-0277

NPI assigned

Apr 23, 2007

Organization subpart

Yes

Parent organization

GHM OPTICAL SHOPAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. George T McKnight, MD

Title

Owner Partner

Phone

(850) 505-7788

Specialties & licenses 1

Addresses

Other names 1

• the glasses store Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Part of

GHM Optical Shop

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242432000000",
    "number": "1164640025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6190 N DAVIS HWY",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325046969",
            "telephone_number": "850-505-7788",
            "fax_number": "850-471-0277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6190 N DAVIS HWY",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325046969",
            "telephone_number": "850-505-7788",
            "fax_number": "850-471-0277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GHM OPTICAL SHOP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GHM OPTICAL SHOP",
        "enumeration_date": "2007-04-23",
        "last_updated": "2009-05-16",
        "status": "A",
        "authorized_official_last_name": "MCKNIGHT",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER PARTNER",
        "authorized_official_telephone_number": "850-505-7788",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "68802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "the glasses store",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Claire Elizabeth Geschke, CF-SLP
• Susan Gessler, LMHC
• Joel Geurin, DO
• Lisa Marie Geyer, COTA, LMT
• Tori Shay Ghigliotty, APRN
• Muhammad S. Ghumman, M.D.
• Kelli McGinnis Gibbs
• Marilyn Dial Gibbs, LMT
• Michelle Gibbs, LCSW
• Benjamin Randall Gibson, PMHNP

• Ophthalmology Physician in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.